What is the most likely pathology? CLOSED
Winner and correct answer Revealed!
Winner's will be announced in the first week of September 2010
Congrats to Madge for the right answer !!! (below)
History:
Previous ovarian cyst removed 2 years ago on the left. Now similar pains in the right iliac fossa. Previously diagnosed PCOS.
Image:
Answer:
It seems like most opted for the obvious answer which is a dermoid cyst as most classic ultrasound features of a dermoid lesion are present here i.e. the mass is hyperechoic, well defined and delineated from the ovarian tissue however the correct answer is infact a small lipoma. One clue may be the fact that no obvious distal acoustic shadow is present which is present in the case of most dermoid cyst lesions - however from an operator perspective it is difficult to distinguish either and one would perhaps comment on the possibility of either in the report.